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文献综述:阿富汗妇女的健康危机、卫生服务提供及国际援助中的伦理问题

Literature review: Afghanistan women's health crisis, health service delivery, and ethical issues for international aid.

作者信息

Turner Helen

出版信息

Health Care Women Int. 2006 Sep;27(8):748-59. doi: 10.1080/07399330600817832.

Abstract

The literature indicates that the health of women in Afghanistan is poor. In 1997 maternal mortality in Afghanistan was one of the worst in the world. Difficulties in establishing health services revolve around fundamentalist Islamic ideas and ongoing violence within Afghanistan. The literature holds advice on key behaviours for health professionals who may chose to work in Afghanistan. The literature also identifies the local level action that is occurring as the issue of women's health is recognised. Humanitarian assistance has been provided, with international aid agencies having to weigh the ethical responsibilities they hold and one agency tragically facing the violent loss of its own staff. Easy answers are not in the literature, merely an opportunity to understand, consider, and take action about what is facing women in Afghanistan and those who try to help.

摘要

文献表明,阿富汗女性的健康状况不佳。1997年,阿富汗的孕产妇死亡率位居世界最差之列。建立卫生服务的困难围绕着原教旨主义伊斯兰观念以及阿富汗境内持续的暴力冲突。文献为可能选择在阿富汗工作的卫生专业人员提供了关键行为方面的建议。随着女性健康问题得到认识,文献还指出了正在开展的地方层面行动。已经提供了人道主义援助,国际援助机构不得不权衡自身所承担的道德责任,而一个机构不幸面临自身工作人员遭受暴力伤亡的情况。文献中没有简单的答案,只有一个机会去了解、思考并针对阿富汗女性以及试图提供帮助的人所面临的情况采取行动。

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